Federal Register / Vol. 88, No. 232 / Tuesday, December 5, 2023 / Notices 84343 

identify potential refinements to 

improve coaching strategies (installation 

phase); (3) iteratively test the 

refinements (refinement phase); and (4) 

assess the potential of coaching 

strategies to improve service delivery 

and promote family engagement and 

family satisfaction with home visiting 

programs (summary phase). Data 

collection activities include focus 

groups, online questionnaires, and 

review of documents and administrative 

data. 

Need and Proposed Use of the 

Information: The COVID–19 public 

health emergency led the MIECHV 

Program to rapidly adjust practices, 

within the bounds of evidence-based 

home visiting model guidance, to 

reduce service delivery disruptions 

while protecting the health and safety of 

home visiting participants and the home 

visiting workforce. Largely prompted by 

the shift to virtual home visits, one of 

these practice changes was to use 

coaching to promote positive caregiving 

skills and family-child interactions. 

Home visitors suggested that using 

coaching strategies enhanced the way 

that home visitors worked with families, 

particularly in virtual settings when 

home visitors were unable to use 

modeling strategies (e.g., in-person 

demonstrations by home visitors). Some 

findings indicate that home visitors who 

used coaching perceived that it led to 

improved family engagement and 

caregiver confidence in interacting with 

their child. However, other findings 

suggest that some families may not 

prefer coaching over modeling and that 

coaching may create a burden on home 

visitors. As home visitors transition 

back to primarily in-person home visits, 

there is a need for more information 

about strategies to support the 

implementation of coaching to 

effectively promote positive caregiverchild interactions in virtual and inperson settings, while reducing home 

visitor burden and increasing family 

acceptance of this strategy. HRSA 

intends to use the information collected 

to provide evidence-informed resources 

and strategies that MIECHV awardees 

can use to inform their use of coaching 

strategies to strengthen home visiting 

services. 

Likely Respondents: Respondents 

include families who receive home 

visiting services and MIECHV-funded 

home visiting program staff, which may 

include program directors, managers, 

supervisors, and home visitors. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Program Eligibility Protocol ...................................................... 16 1 16 1.00 16.0 

Program Staff Focus Group Protocol 1 (Co-definition Phase) 24 1 24 1.50 36.0 

Program Staff Focus Group Protocol 2 (Co-definition Phase) 24 1 24 1.50 36.0 

Program Staff Focus Group Protocol (Installation & Refinement Phases) ....................................................................... 24 3 72 1.00 72.0 

Program Staff Focus Group Protocol (Summary Phase) ........ 24 1 24 1.00 24.0 

Family Focus Group Protocol (Co-definition & Summary 

Phases) ................................................................................ 48 1 48 1.00 48.0 

Home Visitor Questionnaire (Installation & Refinement 

Phases) ................................................................................ 40 9 360 0.17 61.2 

Family Post-Visit Questionnaire (Refinement Phase) ............. 48 6 288 0.08 23.0 

Focus Group Participant Characteristics Form (All Phases) ... 120 1 120 0.08 9.6 

Total .................................................................................. 368 ........................ 976 ........................ 325.8 

HRSA specifically requests comments 

on (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions; (2) the accuracy of the 

estimated burden; (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2023–26581 Filed 12–4–23; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: Assessing 

the Use of Informal Contacts To 

Promote Caregivers’ Engagement and 

Satisfaction With Home Visiting 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than February 5, 2024. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 


khammond on DSKJM1Z7X2PROD with NOTICES
84344 Federal Register / Vol. 88, No. 232 / Tuesday, December 5, 2023 / Notices 

Officer, Room 14N39, 5600 Fishers 

Lane, Rockville, Maryland 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call Joella Roland, the HRSA 

Information Collection Clearance 

Officer, at (301) 443–3983. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the ICR title 

for reference. 

Information Collection Request Title: 

Assessing the Use of Informal Contacts 

to Promote Caregivers’ Engagement and 

Satisfaction with Home Visiting OMB 

No. 0915–xxxx—[New]. 

Abstract: The Maternal, Infant, and 

Early Childhood Home Visiting 

(MIECHV) Program, authorized by 

Social Security Act, title V, section 511 

(42 U.S.C. 711) and administered by 

HRSA in partnership with the 

Administration for Children and 

Families, supports voluntary, evidencebased home visiting services during 

pregnancy and for parents with young 

children up to kindergarten entry. 

States, tribal entities, and certain 

nonprofit organizations are eligible to 

receive funding from the MIECHV 

Program and have the flexibility to tailor 

the program to serve the specific needs 

of their communities. Funding 

recipients may subaward grant funds to 

local implementing agencies to provide 

home visiting services to eligible 

families in at-risk communities. 

This information collection is part of 

the Assessing and Describing Practice 

Transitions Among Evidence-Based 

Home Visiting Programs in Response to 

the COVID–19 Public Health Emergency 

Study. This study aims to identify and 

study practices implemented in 

response to the COVID–19 public health 

emergency that support evidence-based 

practice and have the potential to 

enhance home visiting programming. 

One of the practices the study identified 

is the use of informal contacts. Informal 

contacts are any contacts between a 

home visitor and family that occur 

between formal home visits (e.g., text 

messages, emails). The purpose of this 

information collection is to better 

understand, through rapid cycle 

learning, how MIECHV-funded home 

visiting programs can use informal 

contacts to improve service delivery and 

promote caregiver’s engagement and 

satisfaction. 

Information will be collected in four 

phases designed to (1) identify informal 

contact strategies (co-definition phase); 

(2) pilot test and identify refinements to 

improve the implementation of 

strategies (installation phase); (3) 

iteratively test the strategies with 

refinements to their implementation 

(refinement phase); and (4) assess the 

potential of informal contact strategies 

to improve service delivery and promote 

family engagement and family 

satisfaction with home visiting 

programs (summary phase). Data 

collection activities include focus 

groups, online questionnaires, and 

review of documents and administrative 

data. 

Need and Proposed Use of the 

Information: The onset of the COVID–19 

public health emergency prompted 

home visitors to use telephone, text, and 

social media direct messaging to 

informally contact families on a more 

frequent basis—in some instances, 

daily. This practice has continued for 

some programs even after the end of the 

public health emergency and the 

transition back to in-person service 

delivery. Current evidence suggests 

considerable variation in strategies used 

by home visiting programs with regards 

to context, type, frequency, and purpose 

of informal contacts. While increasing 

contacts helped home visitors to build 

rapport and further address family 

needs, other findings suggest that 

informal contacts can place pressure on 

families to engage with home visitors 

beyond what they have the capacity for 

and increase the workloads of home 

visitors. Given these initial findings and 

the increased use of informal contacts 

since the public health emergency, there 

is a need for more information about 

how home visitors contact families 

outside of home visits, variations in 

strategies, how families perceive the 

strategies, and how to address 

challenges around informal contacts. 

HRSA intends to use collected 

information to provide evidenceinformed resources and strategies that 

MIECHV awardees can use to effectively 

engage and communicate with families 

between scheduled home visits. 

Likely Respondents: Respondents 

include families who receive home 

visiting services and MIECHV-funded 

visiting program staff, which may 

include program directors, managers, 

supervisors, and home visitors. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Program Eligibility Protocol .................................................. 16 1 16 1.00 16.0 

Program Staff Focus Group Protocol 1 (Co-definition 

Phase) .............................................................................. 24 1 24 1.50 36.0 

Program Staff Focus Group Protocol 2 (Co-definition 

Phase) .............................................................................. 24 1 24 1.50 36.0 

Program Staff Focus Group Protocol (Installation & Refinement Phases) ............................................................. 24 3 72 1.00 72.0 

Program Staff Focus Group Protocol (Summary Phase) .... 24 1 24 1.00 24.0 

Family Focus Group Protocol (Co-definition & Summary 

Phases) ............................................................................ 48 1 48 1.00 48.0 

Home Visitor Questionnaire (Installation & Refinement 

Phases) ............................................................................ 40 9 360 0.17 61.2 

Family Post-Visit Questionnaire (Refinement Phase) ......... 48 6 288 0.08 23.0 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 88, No. 232 / Tuesday, December 5, 2023 / Notices 84345 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Focus Group Participant Characteristics Form (All Phases) 120 1 120 0.08 9.6 

Total .............................................................................. 368 ........................ 976 ........................ 325.8 

HRSA specifically requests comments 

on (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions; (2) the accuracy of the 

estimated burden; (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2023–26586 Filed 12–4–23; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Center for Scientific Review; Amended 

Notice of Meeting 

Notice is hereby given of a change in 

the meeting of the Center for Scientific 

Review Special Emphasis Panel, 

Biophysics and Biochemistry 

Fellowship Review, December 13, 2023, 

11:00 a.m. to December 13, 2023, 05:00 

p.m., National Institutes of Health, 

Rockledge II 6701 Rockledge Drive, 

Bethesda, MD 20892 which was 

published in the Federal Register on 

November 28, 2023, 88 FR 83143, Doc 

2023–26127. 

This meeting is being amended to 

change the meeting panel name from 

‘‘Biophysics and Biochemistry 

Fellowship Review’’ to ‘‘Topics in 

Biophysics and Biochemistry’’. The 

meeting is closed to the public. 

Dated: November 30, 2023. 

David W. Freeman, 

Supervisory Program Analyst, Office of 

Federal Advisory Committee Policy. 

[FR Doc. 2023–26667 Filed 12–4–23; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Diabetes and 

Digestive and Kidney Diseases; Notice 

of Closed Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

Diabetes and Digestive and Kidney Diseases 

Special Emphasis Panel; Institutional 

Network Applications for Promoting Kidney, 

Urologic, and Hematologic Research Training 

(U2C–TL1). 

Date: March 26–27, 2024. 

Time: 9:00 a.m. to 6:00 p.m. 

Agenda: To review and evaluate 

cooperative agreement applications. 

Place: National Institutes of Health, 

NIDDK, Democracy II, Suite 7000A, 6707 

Democracy Boulevard, Bethesda, MD 20892 

(Virtual Meeting). 

Contact Person: Jason D. Hoffert, Ph.D., 

Scientific Review Officer, Review Branch, 

Division of Extramural Activities, NIDDK, 

National Institutes of Health, Room 7343, 

6707 Democracy Boulevard, Bethesda, MD 

20892, 301–496–9010, hoffertj@

niddk.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.847, Diabetes, 

Endocrinology and Metabolic Research; 

93.848, Digestive Diseases and Nutrition 

Research; 93.849, Kidney Diseases, Urology 

and Hematology Research, National Institutes 

of Health, HHS) 

Dated: November 29, 2023. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2023–26630 Filed 12–4–23; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Center for Scientific Review; Notice of 

Closed Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: Center for Scientific 

Review Special Emphasis Panel; 

Neurological Disorders and Multiple 

Sclerosis. 

Date: December 18, 2023. 

Time: 2:00 p.m. to 6:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 

Rockledge II, 6701 Rockledge Drive, 

Bethesda, MD 20892 (Virtual Meeting). 

Contact Person: Aleksey Gregory 

Kazantsev, Ph.D., Scientific Review Officer, 

Center for Scientific Review, National 

Institutes of Health, 6701 Rockledge Drive, 

Room 5201, Bethesda, MD 20892, (301) 435– 

1042, aleksey.kazantsev@nih.gov. 

This notice is being published less than 15 

days prior to the meeting due to the timing 

limitations imposed by the review and 

funding cycle. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.306, Comparative Medicine; 

93.333, Clinical Research, 93.306, 93.333, 

93.337, 93.393–93.396, 93.837–93.844, 

93.846–93.878, 93.892, 93.893, National 

Institutes of Health, HHS) 

Dated: November 30, 2023. 

Melanie J. Pantoja, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2023–26669 Filed 12–4–23; 8:45 am] 

BILLING CODE 4140–01–P 


khammond on DSKJM1Z7X2PROD with NOTICES